scholarly journals The Psychological Services Role in the Psychodiagnostics and Psychocorrection of Psychosomatic Patients in the Psychoemotional Situation

Author(s):  
Yulduz Narmetova ◽  
Gulbakhor Kuldosheva ◽  
Tolib Bekmirov

The article discusses the emotional state disorders that occur in patients with psychosomatic illnesses, their role in the severity of the disease and its negative consequences. It is noted that various somatic diseases such as cardiovascular disease, diabetes mellitus, gastrointestinal diseases are often manifested by emotional state disorders and conversely, in these diseases emotional sphere disorders prevent complete recovery from the disease. These cases require the organization of psychological care in the clinic of psychosomatic diseases and the implementation of all psychoprophylactic and corrective measures.

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 48-51
Author(s):  
Y E Dobrokhotova ◽  
E I Borovkova ◽  
S A Zalesskaya

Progesterone-containing contraceptives do not have a significant impact on metabolic processes and can be prescribed to patients with systemic (diabetes mellitus, obesity) and other diseases. Desogestrel is a part of oral preparations in a dose of 75 mcg. The main mechanism of its contraceptive action is Suppression of ovulation (in 97% of cases). The frequency of pregnancy is 0.17 for 100 women-years. Progesterone-containing contraceptives should not be considered, as preparations of the second choice when deciding on the issue of family planning. According to the recommendations of the Center for Disease Control and Prevention organization of health, desogestrel is an acceptable contraceptive option for women with somatic diseases, defined tumor pathology and thrombotic states in the anamnesis.


Medicina ◽  
2009 ◽  
Vol 45 (2) ◽  
pp. 85 ◽  
Author(s):  
Lina Lašaitė ◽  
Jūratė Lašienė ◽  
Gintautas Kazanavičius ◽  
Antanas Goštautas

The aim of the study was to evaluate associations of emotional state and quality of life with lipid concentration, duration of the disease, and the way of treating the disease in males and females with type 2 diabetes mellitus. A total of 53 persons with type 2 diabetes mellitus (27 males and 26 females; mean age, 58.7±8.9 years) and 56 healthy persons (26 males and 30 females; mean age, 54.7±8.3 years) participated in the study. Emotional state was evaluated by means of Profile of Mood State and quality of life by means of WHO Brief Quality of Life Questionnaire. Emotional state and quality of life were significantly worse, tension-anxiety and fatigue-inertia were significantly higher, vigor-activity was significantly lower in male patients with type 2 diabetes mellitus than in healthy males. In females, no significant differences in emotional state and quality of life comparing type 2 diabetes mellitus group and controls were detected. In females with type 2 diabetes mellitus, emotional state and quality of life were significantly better, scores of tension-anxiety, depression dejection, anger-hostility, and fatigue-inertia were significantly lower, and score of vigor-activity was significantly higher than in males with type 2 diabetes mellitus. Some significant correlations were found. In males, vigor-activity correlated with total cholesterol level and negatively correlated with triglyceride level. In females, significant correlations were found between scores of emotional state (tension-anxiety, depression-dejection, confusion-bewilderment, and total score of emotional state) and lipid levels (total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels). There were no significant associations of emotional state and quality of life with duration of the disease in males and females with type 2 diabetes mellitus. No significant differences in emotional state and quality of life were found between males and females with type 2 diabetes mellitus, who were treated with oral antidiabetic preparations and insulin preparations.


2010 ◽  
Vol 7 (2) ◽  
pp. 641-647 ◽  
Author(s):  
M. S. Yadawe ◽  
SMT D. M. Hiremath ◽  
S. A. Patil

An investigation was undertaken in 10 villages (28 samples) of Basavan-Bagewadi taluka and 11 villages (38 samples) of Muddebihal taluka of Bijapur district to assess fluoride and other physicochemical parameters. And also to assess the clinical symptoms like dental and skeletal fluorosis, joint pains and gastrointestinal diseases and to find out the severity of the disease. A check list developed with the help of available literature and in consolation with nutritionists was used to record clinical symptoms. A sample survey was made after examination for both sexes between the age of 8-50 years at Basavan-Bagewadi and Muddebihal taluka. Fluoride content varies from 0.40-6.40 mg/L and 1.10-7.10 mg/L. However 12 samples were within the range, while 16 samples were above the permissible limits at Basavan-Bagewadi Taluka where as in Muddebihal taluka all the values are above the permissible limits of WHO respectively. The results show that, out of the 2992 examined 824 (25.89%) people have dental and skeletal fluorosis, 274 (9.15%) people have joint pains, 167 (5.58%) have gastrointestinal discomfort and excessive thirst at different stages in Basavan-Bagewadi taluka. Among 2696 examined, 812(29.49%) people had dental and skeletal fluorosis, 432 (16.18%) people had joint pains, 415 (15.54%) people had gastrointestinal discomfort and excessive thirst at Muddebihal taluka of Bijapur district.


2014 ◽  
Vol 21 (4) ◽  
pp. 301-311
Author(s):  
Dana Sonia Oieru ◽  
Amorin Remus Popa ◽  
Ionuţ Vlad

AbstractBackground and aims: The theory regarding the psychological factors as etiologic agents that trigger the somatic diseases has gained more and more ground in the past few years, successfully repeating that the human being is a bio-psycho-social entity. In order to render the psychological interventions more efficient in the management of the psychosomatic diseases, this research aims to detect and modify, even treat throught psychological interventions those configurations of the early maladaptive schemes and coping styles that stick form together in the so-called acquired vulnerability which makes the person liable to an inappropriate reaction against stress, and also to track the effects of these changes on somatic indicators of diabetes mellitus. Material and methods: Analysis of variance (ANOVA) and paired T-test were used for analysing subjects` responses at three psychological instruments, evolution of blood pressure, body mass index, drug units, hospitalisation days, medical leave days, depressive symptoms before and after 10-12 psychological interventions sessions. Results: Results draw the attention once again upon the multiple directions of intervention and especially of prevention in case of the psychosomatic disease, in particular diabetes mellitus. Conclusions: Psychological intervention in the early stages of diabetes is a major contributor to the management of this disease.


2016 ◽  
Vol 11 (4) ◽  
pp. 306-310
Author(s):  
Simona GROSSMAN ◽  
◽  
Ioan-Bradu IAMANDESCU ◽  

Shame is a complex emotional state, a universal experience, whose influence can be extensive. Elusive by its nature, shame can escape the attention of specialists. Discussions on shame as a separate and distinct emotion are rare, most often being denied, hidden or concealed by more socially acceptable emotions. Offspring of a disappointed Ideal Self, shame reflects on Self Respect and Self Image, both important and influential components of the psyche, with major implications in personality. Being a strong negative emotion, shame can have an important and quite extensive influence on mental health through its numerous somatic correlates intensely and widely expressed at different organic level on somatovisceral activity – thus, resulting in the appearance of numerous disorders and psychosomatic diseases – among them obesity, which was chosen by the author as the subject of a future research.


2017 ◽  
Vol 21 (4) ◽  
pp. 15-20
Author(s):  
Elena A Andreeva ◽  
Marina A Pokhaznikova ◽  
Irina E Moiseeva ◽  
Olga Yu Kuznetsova ◽  
Jean-Marie Degryse

The article presents an analysis of the risk factors for anxiety and depression in people with airflow limitation based on the results of the second (diagnostic) phase of the RESPECT (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). The data indicates that participants with airflow limitation that had been revealed during the epidemiological study and with borderline or abnormal anxiety and/or depression showed in diagnostic study persistent airflow limitation (FEV1/FVC = 66.48 ± 10.22, p < 0.05) and more perceived respiratory symptoms (CAT = 11.1 ± 10.01, mMRC = 1.68 ± 1.02, p < 0.001) compared to those without mental disorders. Also, they tended to have concomitant cardiovascular diseases (coronary heart disease, chronic heart failure, p < 0.001) and diabetes mellitus (p < 0.01) more frequently. Although chronic heart failure is the most prominent risk factor for anxiety/depression, it becomes non-significant when corrected for other somatic diseases and respiratory symptoms.


Author(s):  
I.M. Fushtey ◽  
Ye.A. Solovyuk ◽  
A.O. Solovyuk

The purpose of this work was to study the general characteristics of quality of life (QoL), the effect of overweight on QoL, the nature of eating behaviour in patients with diabetes mellitus (DM) type 2 and   concomitant overweight (OW) and obesity, as well as to establish the correlation with indicators of functional state of the arterial vessels. 64 people (34 women and 30 men) with DM and concomitant  overweight and obesity (average age 56.3 ± 10.23 years) formed the 1 group, 34 people (19 women and 15 men), whose average age was 55.6 ± 11.92 years constituted the 2 group, and  28 healthy individuals formed the control group. SF-36v2 questionnaires were used to evaluate QoL. The effect of overweight on QoL was analyzed according to the IWQOL-Lite questionnaire data, the patterns of eating behaviour were determined by the COEQ4 for 7 days using FPRS questionnaire. The functional state of the arterial vessels was assessed by estimating the pulse wave velocity using the automated rheographic complex ReoCom (KhAI Medika (Ukraine)). The patients with DM and concomitant overweight and obesity were found to experience some changes in QoL according to the SF-36v2 questionnaire. The changes were primarily characterized by a decrease in physical activity, as well as in social and emotional status. These changes differed not only from the QoL assessment by healthy individuals, but also from those of patients with DM and normal body weight. The nature of eating behaviour in overweight or obese patients with DM was characterized by an increased hunger in parallel with a worsened emotional state and an increased desire to eat certain types of foods that can contribute to weight gain. Structural changes in arterial vessels that typically are indicative of arterial stiffness correlate with indicators of emotional state and physical activity in patients with DM and comorbid overweight and obesity.


2012 ◽  
Vol 58 (3) ◽  
pp. 56-60
Author(s):  
I R Iarek-Martynova

The onset of insulin therapy is an important stage in the treatment of type 2 diabetes mellitus. Its timely beginning ensures better control of glycemia and reduces the negative consequences of chronic glucose cytotoxicity and lipotoxicity. The achievement and maintenance of the stable compensation of the disease are the indispensable conditions for successful prophylaxis and adequate treatment of chronic complications of diabetes mellitus. The ADA guidelines recommend to initiate insulin therapy at the early stages of the disease provided it is dictated by the clinical situation or combine it with the use of oral hypoglycemic agents if the targeted HbA1c levels fail to be reached despite the intake of one or more tableted preparations.


Author(s):  
Otovwe Agofure ◽  
Stella Odjimogho ◽  
Oghenenioborue R. A. Okandeji-Barry ◽  
Imomotimi Glasgow

Background: Gestational diabetes mellitus is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Gestational diabetes which prevalence is on the increase in Nigeria may have negative consequences on the health of the foetus or mother. This study was designed to determine the prevalence of gestational diabetes mellitus and its complications among pregnant women attending antenatal services in Diette Koki memorial hospital Opolo Bayelsa State from 2014-2016.Methods: This was a retrospective study carried out at the Diette Koki Memorial Hospital Opolo in Bayelsa State. The study population comprised pregnant women that attended antenatal care services within the period of January 2014-December 2016. A designed proforma was used to collect the data from the hospital record department.Results: The results of the study showed that the prevalence of gestational diabetes in the year 2014 was 0.023% or 2.33 per 10,000 pregnancies while the prevalence for 2015 was 0.026% or 2.59% per 10000 pregnancies. Furthermore, other complications recorded were hypertension, pre-eclampsia and eclampsia. Similarly, there was a significant correlation between prevalence of gestational diabetes and other complications (r=0.898, p=0.022).Conclusions: In conclusion, prevalence of gestational diabetes was recorded among pregnant women of Diette Koki memorial hospital Opobo Bayelsa State. Therefore, prompt screening and preventive measures should be enforced by health care professionals to prevent maternal and foetal morbidity and mortality.


10.12737/7236 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Лагунова ◽  
N. Lagunova ◽  
Голубова ◽  
T. Golubova ◽  
Поленок ◽  
...  

The changes of adaptive-compensatory reactions, pronounced stress of regulatory mechanisms, the imbalance between the autonomic nerve system and sympatho-adrenal system are one of the reasons of type 1 diabetes mellitus course lability. The purpose of this study was to examine the adaptive-compensatory reactions, the condition of autonomic nervous system, sympatho-adrenal system, emotional state and changes of the studied parameters under the sanatorium stage of rehabilitation effects in children with type 1 diabetes mellitus. The research and analysis of the obtained results allowed to determine significant changes of various organs and systems in the majority of children (65,0%) with diabetes. These changes are manifested in the polymorphic somatoneurological symptoms and were as consequences of the high level of regulatory systems tension, violation of adaptive-compensatory reactions, changes in emotional state, increased activity of sympatho-adrenal system. Sanatorium-resort treatment had the positive effects on the major body life defining systems functioning of observed children. Adaptive-compensatory mechanisms of the functioning of the autonomic and sympatho-adrenal systems were improved (after treatment functional rearrangements were determined by increasing the activity of humoral and vagal effects, decreased sympathetic activity, reflecting the favorable orientation of the regulatory mechanisms of the autonomic nervous system), there were positive changes in psychological terms (decreased high level of anxiety, increased extraversion and interpersonal contacts in children).


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